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04910 (SFD)g ' , ;�4 y P.O: BOX 1504 4 No. 049-10 Building `' 7&105 CALL E.';E$TADO �.:. Address 49-125,taw o Court' LA QUINTA, CALIFORNIA 92253 Owner BarGon`bevelopmeat Mailing Address 68-713 Perez Road CityZip Tel. Cathedra, City 92234 774-9024 Contractor BUILDING:• TYPE CONST:• OCC: GRP. + A.P. Number tare La OAAinta Legal Description > Project Description Plan 2017 -- blot 5 City Zip Tela 1217 State Lic. City & Classif. Lic. # Sq. Ft. No. No. Dw. Size - Stories. Units Arch., Engr., �. ,- Designer New ❑ Add ❑ Alter ❑ Repair ❑ - Demolition ❑ Address Tel. , City Zip State Lic. # • e LICENSED CONTRACTOR'S DECLARATION _ I hereby affirm,ttiZvt am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the�Business and Professions Code, and my license is in full force and effect:. / -• rf ' SIGNATURE DATE ` OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following P� �� reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a - permit t0 constnict, after. Improve, demolish, Or repair any structure, prior to its issuance also requires the applicant for such permit to Rue a signed statement that he is licensed pursuant to . PERMIT AMOUNT the provisions of the Contractor's license Law, Chapter 9 (commencing. with Section 7000) or Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis ' for the Any Section 7031.5 by 'any for Plan Chk. Dep. • -- alleged exemption. violation of applicant a permit - subjects the applicant to a civi penalty of not more than five hundred dollars (5500). Plan Chk. Bal. • ,•�• ,.� [1 1, I, as owner of the property, or my employees with wages as their sole comp ensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Bussness and Const. �,' [y /„ �� 440.50 Professions Code: The Contractor's License Law does not apply to an owner, of property who builds or improves thereon and who does such work himself or through his own employees, McCh42.00 provided that such improvements are not intended or offered for safe. n however,. the building orimprovement is sold within one year of completion, the owner-bugider wig have the burden ., Electrical y 7$_50, - of proving that he did not burnt or improve for the purpose of sale.) ' ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing r (4 oo struct the project. (Sec., 7044,. Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who. contracts for S.M.I. 1 .1 such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) - Grading ❑ 1 am exempt under Sec. B. & P.C. for this reason1. - - 11 1 Driveway Enc. Date owner Infrastructure 2,295-59 WORKERS' COMPENSATION DECLARATION - I hereby affirm that I Have a certificate of consent to self -insure, or a certificate of WorkeYs Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) t Policy No Company - r ❑ Copy is filed. with the city. ❑ Certified copy is hereby furnished. TOTAL 93-127.62 CERTIFICATE OF EXEMPTION FROM REMARKS WORKERS' COMPENSATION INSURANCE ' (This section need not be completed it the permit is for one hundred dollars ($100) valuation - or less.) I certify that in the performance of. the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California O NOTICE TO APPLICANT, if, after making this Certificate of Exemption you should become ZONE: BY: F - subject to the Workers' Compensation provisions - of the Labor Code, you must forthwith Comply With such provisions orthis permit shall bedeemed revoked ... - - Minimum Setback Distances: r_ Front Setback from Center Line Rear Setback.from Rear Prop. Line l: - CONSTRUCTION LENDING AGENCY ° Side Street Setback from Center Line 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Side Setback from Property Line Lenders Name ^ Lenders Address FINAL DATE INSPECTOR This is a building permit when property filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. 1 certity that I have read this application and state that the above information is.correct.. Issued by: Date Permit 1 agree to comply with all city and county ordinances and state laws relating to building construction,.and'hereby authorize representatives of this-city•to enter the above-. mentioned property for inspection purposes. Validated by-. Signature of applicant Date Mailing Address Validation: City, State, Zip .. CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS B ADE ROU H PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL SQ. FT. FORMS ER O r ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® GAS (ROUGH) CO R LOOP GAR. SQ. Fr. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SQ. FT. @ GROUT WATER HEATER WALL SQ. FT. ® FINAL INSP. DRINKING FOUNTAIN BOND BEAM WATER SYSTEM URINAL SQ FT ® =$ LUMBER GR. ESTIMATED CONSTRUCTION VALUATION $ FINAL INSP. "� 6 WATER PIPING NOTE: Not to be used as property tax valuation i FLOOR DRAIN MECHANICAL FEES REMARKS: WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB MESH SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL FINISH GRADING SQ.FT.GAR ® 3/ac HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK OU D PLUMBIN UNDERGROUND A.C. UNIT COLL. AREA B ADE ROU H PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS ER O r ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) CO R LOOP HEATING (FINAL) OTHER APPJEQUIP. 2 �Ap F. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. "� 6 FRAMING FINAL INSP. i ROOFING �'� PA/- 6 REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING -*'I% (,-L/ MESH INSULATIONISOUN FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL